Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04714 | Date 04/08/2023 |
| Token No | SM/22-23/11350 04/08/2023 | Serial | 045 |
| Patient Name | Mrs. PUJA DEVI PRASAD | Contact No | 8467869797 |
| Address | 97/A/A PRAVASHNAGAR SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||